Montpelier, OH · Williams County
Owner’s Certification for Requested Utility Termination
This form lets a property owner certify that no tenants or other non-owner occupants possess the premises or keys when requesting utility termination.
What this form is
The owner uses this certification to request termination of utility service at a specified premises through Montpelier Municipal Utilities. It states that no tenants, holdover tenants, or other non-owner occupants are in possession of the premises or its keys, and that the owner will hold the Village harmless if that certification is untrue. The form also says termination will not occur if the Village receives notice of an untrue statement before termination.
Who needs it
An owner or landlord requesting utility termination for a premises in Montpelier must complete the certification about occupants and keys.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document has no notary block or notarized attachment; the owner/landlord signs the certification, and no date field is shown.
How to submit this form
- 1
Download the Form
Download the Owner’s Certification for Requested Utility Termination PDF.
- 2
Complete the Certification
Enter the owner's name and premises address, then certify the statements about occupants and keys.
- 3
Sign the Form
The owner/landlord signs the certification; the document does not show a date field.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the owner certify on this form?
- The owner certifies that no tenants, holdover tenants, or other non-owner occupants possess the premises or its keys, and agrees to hold the Village harmless if that is untrue.
- Who completes the utility termination certification?
- The form is for an owner or landlord requesting utility termination at the premises named on the certification.
- Do I need a notary for the utility termination certification?
- No. The document has no notary block or notarized attachment; the owner/landlord signs the certification, and no date field is shown.
- How do I submit the utility termination certification?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Owner’s Certification for Requested Utility Termination doesn’t need a notary — but if you have another Montpelier form that does, a commissioned online notary can help.